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. METROPOLITAN DiADE COUNTY WELFARE DEPARTMENT
APPLICATION FOR COUNTY WELFARE PAYMENTS AND AGREEMENT FOR LIEN
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Thi• applicatioa snd agreemeat made thie r~ day of ~C,CJ~.L r,,,_. 19~ ~
' in Dade County, Florida • ~
11VITNFSSETH:
~ ~ Pursuant to Ordinan e Num 59-~ 1 of Da?de County.. Florida -
and C ,(his wife. her hwban . whos ;
address is ~ . hereby make application
. for public assistanca ur other welfara paymenta from the county and, in coneidoration
' for the granting af euch assietance or other payruients. covenant and agree as iollows:
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1. They are the owner.e of~ o~ own an interest herainafter specified in, !ha ~
following described real property: Lota 2,3,6~aad 7 in H1ock 3, ar~d Lota 3sk,5 8~ 6,
~ in B14ck 6 0! an unrecorded plat ot Fti. Pierce Tropical l~statea~ accarding tn a aw~v~ey
r pareparsd and cert~ified by Sugene Denee, Regiatered Lard 3ur~syor r1o. 1025, wnder 3~te o!'
- February 21, 195?, ~~6 P~icularly deacribsd oa attsahed aop'z
~ 2. They agree that the tota! of all amounts paid them or either of them as
public aseistance or other welfara paymente by tha said county on or after September
, . 1. 1959 eha11 be and constituta a liea in favor of Dade County upon the property above
described or upon their,intereat or the interest of either of them therein; that said lien
may be foreclosed against eaid property by the county in tha sama manner as mortgage
~ lieas are foreclosed; provided, howevar, that no deficiency decree shall be entered in -
; any such foreclosure proceedinga; and provided further that no euch foreclosure pro-
~ ceedings shall be institutecl during the occupancy of the property by tha undersigned~ by
~ a surviving spouse, by atiy minor dependent child of the undersigned~ or by a dependent
j adult child of the underaigned who is incapable of aelf eupport because of total =nental ~
4 or physical disability.
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~ ? 3. They further agree that if they. or either of them ehould hereafter acquire
~ aay real property or any intereat therein ia addition to the property or interest above
~ described, they al~all forthwith report th~ same to-the Dade Couaty Departaaent of Public
; Welfare and shall execute an agreement readeriag such after-acquired property subject =
~ to the above described lien.
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i IN WITNESS 11i1HEREOF, the undersigned have hereunto aet their bands and seals
~ on the day and year herein first above written. ~
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Signed. sealed and delivered in the presence of: . -
' ` ~ ~ Seal)
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} i STATE OF FLORIDA )
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_ , i COUNTY OF DADE ) , ~ ~
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E Be re me personslly appesred L~QJ~C~ snd
~ ~(~ie wi ~ her hu band). to me well kaown and
e ' ~ kaown to me o be the individuals described in and who executed the foregoing inetru- .
; ~ ment. and aclcAOwledged before me that they executed tho eame for the purposes therein :
~ ` expressed.
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- ; WITNESS my hand and official 8ea1 thia ~ day of ~ t~ :
N 19 ~d`t' .
,~~~aA,r~~t67 - ~
~ i My commission expiree: ~ ~ . ~ ~
~ ; , Notary Public, S~te pf l~'Iori
~ ~ ac r~~~~~. ~J~10 ~ . ~ =
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